Business Analyst Healthcare

Client: Photon
Position: Business Analyst Healthcare
Location: Dallas, TX & Chicago,IL & NYC, NY (Oniste)
Duration: Contract & Full time

Description
Job Description: Business Analyst Healthcare Interoperability & Health100 Platform
Role Overview
We are seeking a Senior Healthcare Business Analyst to join our Digital Technology division, driving key data exchange initiatives for Health100 our AI-native healthcare engagement platform and ecosystem.

In this role, you will bridge the gap between clinical/operational needs and technical implementation for Health100.You will lead the analysis, mapping, and implementation of healthcare data exchange protocols, ensuring seamless interoperability across systems using FHIR, HL7 v2/v3, and C-CDA to FHIR transformations. Your technical depth in healthcare standards combined with strong analytical capabilities will drive the design of
scalable data workflows for AI-driven healthcare solutions.

Key Responsibilities
Healthcare Data Exchange & Interoperability
Lead data mapping initiatives, specifically defining transformational rules for CCDA to FHIR, HL7 v2/v3 to FHIR, and proprietary clinical formats.
Ensure strict adherence to HL7 FHIR R4 / SMART on FHIR standards for real-time patient data ingestion, cost transparency tools, and pharmacy engagement
workflows.
Oversee data governance, privacy compliance (CARIN Code of Conduct for Consumer-Facing Applications, HIPAA), and secure consent management frameworks across consumer data-sharing platforms.

Requirements Analysis

Conduct gap analysis between legacy core systems (EHRs, pharmacy operating systems, claims processing platforms) and modern FHIR-based APIs.

Cross-Functional Collaboration & Execution
Collaborate with third-party digital health partners, health plans, and provider organizations integrating into the Health100 open ecosystem.
Partner closely with data engineering, cloud software architects, and AI developers working with Google Cloud technologies (BigQuery, Cloud Healthcare API, Gemini models) to build real-time clinical workflows.
Design and execute end-to-end User Acceptance Testing (UAT), including sample payload generation (JSON/XML) and validating output data integrity.

Required Qualifications
Experience: 5+ years of Business Analyst experience in the healthcare, health insurance (payer), or health-tech domains.
Interoperability Standards Expertise: Strong hands-on understanding of key standards:
FHIR: FHIR R4 resources (Patient, Encounters, Diagnostic Report,MedicationRequest, Observation, Service Requests etc), SMART on FHIR, and profile extensions.
HL7: HL7 v2/v3 messaging structures (ADT, ORU, VXU).
C-CDA: Clinical Document Architecture parsing, data mapping techniques, and CCDA FHIR conversion workflows.
Regulatory Knowledge: Deep understanding of the CMS/ONC Interoperability and Patient Access Final Rules, TEFCA, and CARIN Alliance consumer access
guidelines.
Technical Skills: Experience with API testing tools (Postman, Insomnia), payload formats (JSON, XML), and SQL querying capabilities for data validation.
Agile Delivery: Proven experience in Agile/Scrum environments using tools like Jira and Confluence